dc.creatorCOCUZZA, Marcello
dc.creatorCOLOMBO JR., Jose R.
dc.creatorGANPULE, Arvind
dc.creatorTURNA, Burak
dc.creatorCOCUZZA, Antonio
dc.creatorDHAWAN, Divyar
dc.creatorSANTOS, Bruno
dc.creatorMAZZUCCHI, Eduardo
dc.creatorSrougi, Miguel
dc.creatorDESAI, Mahesh
dc.creatorDESAI, Mihir
dc.date.accessioned2012-04-18T21:29:07Z
dc.date.accessioned2018-07-04T14:34:34Z
dc.date.available2012-04-18T21:29:07Z
dc.date.available2018-07-04T14:34:34Z
dc.date.created2012-04-18T21:29:07Z
dc.date.issued2009
dc.identifierJOURNAL OF ENDOUROLOGY, v.23, n.2, p.253-257, 2009
dc.identifier0892-7790
dc.identifierhttp://producao.usp.br/handle/BDPI/15083
dc.identifier10.1089/end.2008.0368
dc.identifierhttp://dx.doi.org/10.1089/end.2008.0368
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/1611925
dc.description.abstractPurpose: The purpose of this study was to evaluate the effectiveness of combined ureteroscopic holmium YAG lithotripsy for renal calculi associated with ipsilateral ureteral stones. Materials and Methods: Between August 2002 and March 2007, retrograde flexible ureteroscopic stone treatment was attempted in 351 cases. Indication for treatment was concurrent symptomatic ureteral stones in 63 patients (group I). Additional operative time and perioperative complication rates were compared to a group of 39 patients submitted to ureteroscopic treatment for ureteral calculi exclusively (group II). Results: Mean ureteral stone size was 8.0 +/- 2.6 mm and 8.1 +/- 3.4 mm for groups I and II, respectively. Mean operative time for group I was 67.9 +/- 29.5 minutes and for group 2 was 49.3 +/- 13.2 minutes (p < 0.001). Flexible ureteroscopic therapy for renal calculi increased 18 minutes in the mean operative time. The overall complication rate was 3.1% and 2.5% for groups I and II, respectively (p = 0.87). Mean renal stone size was 10.7 +/- 6.4 mm, overall stone free rate in group I was 81%. However, considering only patients with renal stones smaller than 15 mm, the stone free rate was 88%. Successful treatment occurred in 81% of patients presenting lower pole stones, but only 76% of patients with multiple renal stones became stone free. As expected, stone free rate showed a significant negative correlation with renal stone size (p = 0.03; r = -0.36). Logistic regression model indicated an independent association of renal stones smaller than 15 mm and stone free rate (OR = 13.5; p = 0.01). Conclusion: Combined ureteroscopic treatment for ureteral and ipsilateral renal calculi is a safe and attractive option for patients presenting for symptomatic ureteral stone and ipsilateral renal calculi smaller than 15 mm.
dc.languageeng
dc.publisherMARY ANN LIEBERT INC
dc.relationJournal of Endourology
dc.rightsCopyright MARY ANN LIEBERT INC
dc.rightsclosedAccess
dc.titleCombined Retrograde Flexible Ureteroscopic Lithotripsy with Holmium YAG Laser for Renal Calculi Associated with Ipsilateral Ureteral Stones
dc.typeArtículos de revistas


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